Insurance Updates
Anthem
Anthem Update – Modifier Rules and Guidelines for “Always Therapy” Codes
Recently, Anthem announced they were changing their modifier rules for physical medicine and rehabilitation codes. This change took effect November 1, 2021. These codes and modifiers align with the codes the Centers for Medicare & Medicaid Services (CMS) has...
Anthem 10-7
Anthem has been denying codes 98940/98941 as not covered by this provider type. We have reached out to Anthem executives about this issue and sent several examples to them. Anthem has informed us that they have identified the system issue that was causing these...
Humana
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WellCare
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Passport
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Humana Medicaid
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Aetna Better Health
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Medicare
Updates on UnitedHealthcare Medicare Advantage and AARP Medicare Advantage Prior Authorization for Chiropractic Services
In August 2024, after UnitedHealthcare® (UHC) announced the prior-authorization requirement for its Medicare Advantage and AARP® Medicare Advantage plans, the Kentucky Association of Chiropractors and other chiropractic advocacy groups began extensive advocacy...
2025 Medicare Fee Schedule for Chiropractors
The fee schedule below is current as of 1/14/2025. Please note, facility fees are listed on the top row. Most chiropractors are NOT in a facility so please make sure you're looking at the correct line. The 2025 Medicare deductible is $257, an increase in $17 from...
Miscellaneous
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